1700079175 NPI number — MS. ERICA ILANA TRUMBULL L.AC.

Table of content: MS. ERICA ILANA TRUMBULL L.AC. (NPI 1700079175)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700079175 NPI number — MS. ERICA ILANA TRUMBULL L.AC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRUMBULL
Provider First Name:
ERICA
Provider Middle Name:
ILANA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
L.AC.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700079175
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/22/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
497 CORTE MADERA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORTE MADERA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94925-1310
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-501-3813
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45 SAN CLEMENTE DR STE D130
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORTE MADERA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94925-1254
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-501-3813
Provider Business Practice Location Address Fax Number:
415-891-3991
Provider Enumeration Date:
08/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171100000X , with the licence number: AC 7862 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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